HomeMy WebLinkAbout030-110-08383
EDWARD H. BARRON
SIS Grand Ave.,app. 500' W/of,16th "*
ST., Oroville
CONTR: Oro Pump & Electric,Orovilb
IOU
Permit #5168-75E(el(sr-. only for
commercial mobile) i nGL1 0110r, 1
EL
GAS
SUPPORT S �2�
C1URE REQ
>
COMPA ION TEST.REQ.
s
030-110-083 4-2227
CHER, YANG LE®
GRAND AVE, OROVILL
Cont: WORLD FM CONS
NEW SINGLE FAMILY
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CW3
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i
NOTES RESIDENTIAL
9 PERMIT N0. _ 030-110-083
(�Q r CHER, YANG
Q .
GRAND AVE, OROVILLE
Cont: WORLD FM CONST
NEW SINGLE FAMILY
04-2227
SPECIAL CONDITIONS .
CHECKED
BY
SRA.
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
— USE PERMIT CONDITIONS
— SUB -STANDARD HOUSING LETTER
OFFICE COPY
I /
Address 1&--3
GAS 7Meter By Date
ELECTRIC �/
Meter By �^✓l� Date/��/__
JOB FINALED (Date)
4- Signature
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04-2227
SPECIAL CONDITIONS .
CHECKED
BY
SRA.
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
— USE PERMIT CONDITIONS
— SUB -STANDARD HOUSING LETTER
OFFICE COPY
I /
Address 1&--3
GAS 7Meter By Date
ELECTRIC �/
Meter By �^✓l� Date/��/__
JOB FINALED (Date)
4- Signature
..,may-""r^a.•'P14."'n�,%''�... .Cry.*�,�.-.....•-..2--.i...a..�+7S=+r.%•..7+-:✓cr.w:iR+.•a�:"-'`+.`+••+.-•-.:`-v„_n..�3..w•-+�'
t COUNTY OF BUTTE
BUILDING DIVISION. ;
DEPARTMENT OF DEVELOPMENT SERVICES
4114 Main Street • Chico, CA • (530) 891-2751
` 7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
. ,l
y �tA f
6� Zz z
OWNER
PERMIT NO.
u=w'
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need
additional explanation,
4
please cgntact this office immediately.
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COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
' 7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
ori- aaa�-
OWNER H ' O PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.
Date q-,)(, l�� Inspector V
REV 2/05 Phone #
Si,�,:v'sc►*��ra.�' .�:ti ...r.. y-, ,,�,.,-��.,-,.-x-� �r'�*[��.i`r�,"�"'�r.'r^I.r.'w'r1+^fn`AT3�_`�7'+4•.r.:..�-.r-.�i T`-"#'
t
COUNTY OF BUTTE
BUILDING DIVISION
t.
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street,* Chico, CA • (530) 891-2751
7 County Center Drive _• Oroville, CA • (530) 538-7541
`' CORRECTION NOTICE
VIA-i-,j��- X22 7
OANER PERMIT NO.
r- 1
'c A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please Itact this office i0mediately.
a.
i
i
REV 10/92'
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net\dds
PERMIT NO.
BP042227
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 09/21/2004 APN: 030110-083000
the Business and Professions Code, and my license is in full force and
effect. ,
License Class : License Number:
Site Address: 1663 GRAND AVE ORO
�
Date:' 'Y���/ Contractor: ~�%�.> ✓/C'� ^' ' ��?i'
V
Map Index:
Description: NSF (1568) GAR(442)COV(346)
OWNER43UILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: YANG, SENG & YANG CHER
permit to construct, alter, improve, demolish, or repair any structure, prior
AVE APT 4
to its issuance, also requires the applicant for such permit to file a
60. NELSON
signed statement that he or she is licensed pursuant to the provisions of
OROVILLE, CA
the Contractor's State License Law (Chapter 9 commencing with Section
95965
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: WORLD F M CONSTRUCTION CO
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
1617 71ST AVENUE
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
SACRAMENTO,CA 95832
proving that he or she did not build or improve for the purpose of
(916) 870-2344
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
Contractor:' WORLD F M CONSTRUCTION CO
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3 of the Business and Professions Code
1617 71ST AVENUE
Date: Owner:
SACRAMENTO,CA 95832
(916) 870-2344
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
O 1 have and will maintain a certificate of consent to self -insure for
License #: 740981
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
❑ I have and will maintain workers' compensation insurance, as
Architect'
required by Section 3700 the Labor Code, for the performance of
Engineer:
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 2446 S. F.
Policy #:
I certify that in the performance of the work for which this permit is
Valuation: $123,914.00
issued, I shall not employ any person in any manner so as to
Census Code'
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date: ® /41/
,f
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
damages for in Section 3706 of the Labor
Z (o+2. 3-7 '7- :7- �¢
compensation, as provided
,e ,,� �p3
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit i hereby issued under the applicable provisions of the Butte County CodR BnWor
I hereby affirm that there is a construction. lending agency for the
fo hich thi is issued 3097 Civ%
Resolution to do work indicated above for which fees have been paid.
'J-.71-04
performance of the work permit (Sec
`_
BY: nv Date:
Name:`/T^P— !- •
/ • C 5
PER01EXPIRES ON:
��*�il••
�
Address: /�%f1'l f0 rEi'� .G'�
(Date)
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any offici;form or d ument of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
,wPrint Name: '/i��A/� a /'L.&k/leiSignature:
Date: zz!::J'emoi
❑ Owner �jContractor ❑ Agent for Owner 13 Agent for Contractor
J=OK
0 = 'Not OK
.
NotApplicable
Not Ready
MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements r
2.
Soils; Special MH Support Sketch
3.
Sewer; Location -Test -Fall -C/O -Concrete
4.
Water; Location -Test -Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or/ /" L "ft./ P LPG
7.
Well Clearance & Disconnect
8. Utilitv Clearance
Date
Card.13-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date - Card B-1
Date PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify #'s with Office
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
't, .
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
'Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.,
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing ,
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures ?
6.
Carports; Windows -Doors
7.
Electric
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses -
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels 3
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
�. .. - r�'a'�w^�...:.•n.+r�..+c �"narF t+tia .,s��«.,.f�.w...r...�y.,....:��Fw..+r>.:.w''�,w.w�.....�o...rr......�.. ,.w=:w....-.._-•..,�... .:--.....�.. y`.;:.+.• . �. ter' 1.. � t:, -
Date
Card B-1 Date Card B-1
Date
Card B-1 Dale Card'B-1'
Date . POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.'
Boxes- Enclosures- Panelboards-Ins. to Main Conduit
9.
Health Department Approval
10..
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure;, Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
�. .. - r�'a'�w^�...:.•n.+r�..+c �"narF t+tia .,s��«.,.f�.w...r...�y.,....:��Fw..+r>.:.w''�,w.w�.....�o...rr......�.. ,.w=:w....-.._-•..,�... .:--.....�.. y`.;:.+.• . �. ter' 1.. � t:, -
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex) ,
Date UNDWLOOR (Plans) OK except #'s
10.Zo 'ng -Setbacks -Easements -Flood -Slope
t . ain; Soils-Elec. Grnd.-/ /" Ftg. Depth
tg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
Porches & Decks; Soils -Steel-/ P' Ftg. Depth
telnwalls, Main; Steel-Blockouts-Wrapped
r -6a. UKd Downs and Special Anchors
&90.' D.W..; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
1 Water Pipe: Test-Anchors-Reaulator-Service Test
( t'
%/12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Car -1 Date Card B-1
Date PL BING (Permit) OK except #'s
er Htr.; Vent Access -Combustion Air Baffle
1 ter Pi st & Anchor -Nail Protection
j9 .W.V; est Fittings & Anchor -Nail Protection
-2Q Se=ver Pan; Test, First Floor -Tub Access
Tub & Shower, Second Floor -Tub Access
2 Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
Date �o Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECYh1CAL (Permit) OK except #'s
Fi e & Transformer Clearance -Ins. Protection
c. Receptacles Spacing -Lights & Switches at Doors
iz Boxes & No. of Conductors Stapled
2 ex Installed Close to Edge of Studs & C.J.
28 quip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
j1_.�arfge Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or At
/Insulated Neutral Q.Yes ❑ No
3 Service -Riser Conductors & Ground Main Disconnect
3 i . Clearances Panels-Motors-Mech. Equip.
es Closet Light -Shower Light -Spa Light
35,Xmoke Detector
Date
Date
Card B-1 Date
Card B-1 Date
Card B-1
Card B-1
Date
MECHANICAL (Permit) OK except #'s
Card B-1 Date Card B-1
Dater
36. C. Ducts Insulation & Support
3 nt Fan, Exhaust above insulation
64.
38' Condensate Drain & Overflow, Size & Grade
65.
39. urnace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
Date
Date
Card B-1 Date
Card B-1 Date
Card B-1
Card B-1
Date
FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date FRAMING (Continued)
49t Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
eplace Ties or Type A Flue -Fireplace Throat Clearance
V. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
drm. Windows or Exiting Doors -Sill Fjt. Dimensions
Garage Fire Protection Framin -C nn"
5�; Property Line Firewall & Openings-
.54.
penings
.54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
airs; Width -Headroom -Rise -Run -Landing -Fire Protection
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.ding-Na' ' g Veneer
5Y. St cc esh-Drip Screed -Fd. Vents-Underflr. Access
i 59. Ggazino Are lass Protection-Skvliahts-Plastic
Walls; ding -Bolts
InteAr/Exterlor Wall Panels
V. Insulation -Wal
63. Infiltration -Wal
Date
7 vY'
Card B-1 Date 1")1,9 - Card B-1 Ile
Date
/Of
Card B-1 Date Card B-1
Dater
f FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext. -
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
_
83.
ollowin Instld./Drive O Yes D No/Walks O Yes ❑ No/Planters O Yes O No
Wr .
Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Prote0on
91.
Correc!Ks from Previous Insp ion
92.
Gas $6st-Meters Tagged, G , Ele c
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
Date
q1Z
Card B-1 Date Card B-1
Date�Card
B-1 Date Card B-1
nCard
Date
B-1 Date Card B-1
Comments at Final:
�g
r) /��-� 6y
County of Butte
Oroville, California
GENERAL CLAIM
CLAIMANT: Cher Yang and Seng Vang
ADDRESS: 60 Nelson Avenue #4
CITY & STATE: Oroville, CA 95965
nATF OP CI AIM- 07/08104
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELA
AMOUNT
Refund Claim - See attached calculation sheet APN: 030-110-083
Permit No:.
BP041336
PAID
RETAINED
REFUND
Development Services
$ 659.88
$ 219.96
$ 439.92
THERM DRNG
$ 510.00
$ -
$ 510.00
SMIP
$ 7.74
$ -
$ 7.74
SHR
$ 305.01
$ -
$ 305.01
TUA
$ 540.01
$ -
$ 540.01
TOTAL
$ 2,022.64
$ 219.96
$ 1,802.68
:::::::::
101001 DVLPMNT SVC
440-001
4210500
$ 439.92
1011822 THERM DRNG
1800
280
$ 510.00
1011430 SMIP
1001
280
$ 7.74
1011811 SHR
1800
280
$ 305.01
1011816 TUA
1800
280
$ 540.01
TOTAL
$ 1,802.68
$ 1,802.68
i, cne unuersigneu, ueciare unser penny or perjury mac me services or amcies claimed nave been pertormed or delivered, aid that this
claim is we and correct as stated. n
Dated this i day of �" , 2004, at 6/1 7,^'1 '� , Calif. SIC -,VA"'
Signature of Gaimant
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specked above have been performed or
delivered and that there is a Budget Appropriation or Specific Board Approval (Check one}fe a same.
Dated this day of C�2004, at Oroville
Dept SEE Exp.
Code BREAKDOWN Code PAYABLE FROM FUND
DO NOT WRITE BELOW THIS LINE -AUDITOR'S USE ONLY
DEPT & SUB PROD I SUB. OBJ I CLAIM N0. I INV N0. I INV. DATE I ENCUMB. GROSS AMT.
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
l l l i l l 111 l 1111 l 1111111111 l 11111 I I
200-0053772
Recorded
I REC FEE 7.00
Official Records
1 COPIES 2.00
CountyBUTTEOf
I
CANDACE J. GRUBBS
1
Recorder
I
ROSEMARY DICKSON
I
Assistant
I Jason
02:36PM 02 -Sep -2004
I Page 1 of 1
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this. property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, Stdie of California, described as follows:
PARCEL 4 AS SHOWN ON THAT CERTAIN PARCEL MAP OF A PORTION OF LOTS 1 AND 3 OF BLOCK 111 OF
THERMALITO, WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, ON AUGUST 15,1977 IN BOOK 62 OF MAPS, AT PAGES 49 AND 50.
EXCEPTING THEREFROM ANY PORTION THEROF, LYING WITHIN THE EXTERIOR.LIMITS OF PARCEL 1 AS
DESCRIBED IN DEED RECORDED AUGUST 22, 1979 IN BOOK 2434 OF OFFICIAL RECORDS, AT PAGE 671, RECORDS OF
BUTTE COUNTY, CALIFORNIA.
ALSO EXCEPTING THEREFROM ALL OIL, GAS, MINERALS AND RIGHTS AND PRIVILEGES PERTAINING THERETO AS
RESERVE IN DEED FROM SCRAMENTO NORTHERN RAILWAY, A CORPORATION, RECORDED JUNE 11, 1964 IN BOOK
1318 OF OFFICIAL RECORDS, AT PAGE 582, RECORDS OF BUTTE COUNTY, CALIFORNIA.
AP NO. 030-110-083
Date -7/2el2ooY PROPERTY OWNERS:
State of California
County of &71'C
On
L'/�ilZ �Y•s�n/(, /,W.V SFi✓G VAVZ, s✓:'0,7e kgs 501-15
�• <�:s S���i/a til �-
before me,
personally appeared y:stiG 4W,1D seN,� ✓mNG, .VUjpavP 9,�D personally
known to me (or proved to me on the basis of satisfactoryevidence) to be the person(s) whose name(s) is/are subscribed
to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(s) acted, executed the instrument.
WITNESS my hand, and official seal.
Signature Seal:
P�..A Oi rhF
JANIE CLARK
0':U Comm. #1312686
NOTARY PUBLIC CALIFORNIA 0
BUTTE COUNTY .l
MY C0r1 M'SsIO-ExPlres JUI, 9, 2005
SG
4
1
BUTTE COUNTY
DEPARTMENT OF, DEVELOPMENT SERVICES.,
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.neAdds
PERMIT NO.
BP042227
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 09/21/2004 APN:' 030-110-083-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: 14e License Number:
Site Address: 1663 GRAND AVE ORO
Map Index:
Date: Contractor.
Description: NSF (1568) GAR(442)COV(346) /
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner' VANG, SEIVG 81 YANG CHER
'
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
60 NELSON AVE APT 4 s
signed statement that he or she is licensed pursuant to the provisions of
OROVILLE, CA
the Contractor's State License Law (Chapter 9 commencing with Section
95965 f
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, wills do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: WORLD F M CONSTRUCTION CO ;
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
1617 71ST AVENUE
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
SACRAMENTO,CA 95832
l
proving that he or she did not build or improve for the purpose of
(916) 870-2344
sale.).
❑ I, as owner of the property, am exclusively, contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. •The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
Contractor:'WORLD F M CONSTRUCTION CO
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3 of the Business and Professions Code
1617 71ST AVENUE
Date: Owner: '
SACRAMENTO,CA 95832
(916) 870-2344
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
License #: 740981
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
❑ I have and will maintain workers' compensation insurance, as
Architect:
required by Section 3700 the Labor Code, for the performance of
Engineer:
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 2446 S.F.
Policy#:
I certify that in the performance of the work for which this permit is
Valuation: $123,914.00
issued, I shall not employ any person in any manner so as to
Census Code:
become subject to the workers' compensation laws of California,
and agree that if I should ..become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date: 0
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
r
i� iO7 Oo3 Z (o'Q-? , 3Gl -7 - 77- �¢
code, interest, and attorney's fees.
,CONSTRUCTION LENDING AGENCY
This permit i hereby issued under the applicable provisions of the Butte County Code andlor
I hereby affirm that there is a construction lending agency for the
Resolution to do work indicated above for which fees have been paid.
performance of the work fohich thhs permit is issued (Sec 3097 Civ.`��
q, �Q • e
Name:. /� 1 1i9� cr �Q
By: +� Date:
PER 1 EXPIRES ON: r • 0 5
a
Address:�LOQ1.�i/�
(Date)1
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code; which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any officiaZformor ument of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name: i s'�✓C//a}�S /�- Signature:
Date:
❑ Owner Contractor ❑ Agent for Owner 0 Agent for Contractor
F, 0
0
a'
.0
l
O1 s6
Q�
BUTTE COUNTY �1 P � J ' " ' PERMIT
0 DEPARTMENT OF DEVELOPMENT SERVICES NO.
0 BUILDING PERMIT APPLICATION
0 AND SUBMITTAL REQUIREMENTS
0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BPd49
0 OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION BIN
"PLEASE PRINT CLEARLY"
ARCHITECT/ENGINEER
OWNER
Last Name
�
first Name ! AVb"—
Address
o AA -e-,
City 42
�! �� State
Zip 6
Phon
,O .r Fax
E-mail
s
ARCHITECT/ENGINEER
CONTRACTOR
Name &-b-gx.aerxf �vig� Co• �uyq . i
Address
a
%,4asA�i4 iNJx� Av '7>r -
City G3^
State
Zip 2
Phone(5F`V g2®
-23
E-mail 40
Lic woqg J
Clas
ARCHITECT/ENGINEER
Name /p/
"_ /V �`. 4C5eXgjCyi^a 'Ti
Address�S//9 /y V15 1'4u2,
CityC-r�ry
State
Zp
Phon&/6
No
E-mail
State License Number
v
'G
APPLICANT SIGNATURE
X
For office use only:
APPLICANT NAME
Name
cJf4
Address
-763 ® i4rL>N9� iv t �r-
city
No
State,
Zi
Subdivision Name
�h�✓��
Page
s
Phon
-23Zi
F /46gA—o`3
E-mail
APPLICANT SIGNATURE
X
For office use only:
Zoning
Property Address J (o Vz
Flood Zone
Cross Street
!� 71 S T_
SRA
Yes
No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
LOCATION
AP# OT 3
Property Address J (o Vz
(E�
Cross Street
!� 71 S T_
WORKER'S COMPENSATION
Policy Number
1L
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
t7 U
Sq. Footage �"dS%16L2
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a pen -nit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the persod4who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: Amount 242 .33 Bldg
000 — SRA
Receipt #: 4-07 o 0 3 3 (O • Sheriff
OVER FOR SUBMITTAL REQUIREMENTS L
K:\FORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 1 of 2
Date: �►, s7,
12-39 SMIP
Other
3014.7 8 Total
REV 6-16-04
SUBMITTAL REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply
fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE
L B AND ININ%
y
Residential, New, Remodels, Additions, and Accessory Structures:
,or" 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER!
.ET 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER!
OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped wed
calculations.
-ef 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
,Y 4. Letter from Engineer or Architect for truss design review.
,4�r 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to
mobile or modular homes)
❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7. Detached Accessory Building Form, filled out by the property owner (if required).
❑ 8. Sanitation and site plan approval from the Environmental Health Department.
❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
Mobile, Manufactured, or Modular Homes:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑ 2. 2 Data sheets and installation instruction manual.
❑ 3. 2 Marriage line information.
❑ 4. 2 Floor plans.
❑ 5. 2 Engineered Tie Downs or Foundation plans.
❑ 6. Sanitation and site plan approval from the Environmental Health Department.
❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
Commercial, New, Additions and Remodels:
❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER!
❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations,
with code analysis.
❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 4. Letter from Engineer or Architect for truss design review.
❑ 5. 2 Energy compliance design and supporting documentation (if required).
❑ 6. - 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7. Statement of Intent for Non -heated and A/C (if required).
❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the en ' eer
❑ 9. Letter of intent.
❑ 10. Hazardous Material Form.
❑ 11. Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530) 538-7541.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSSUILDING FORMS\6IdgAPPISubRgmts.doc Page 2 of 2 REV 6-16-04
�aG4�'f� v. i ��, �Yly a..n �,,�., � . , r.�-...,,'- ..V.. . r4-..-r-:«-:^v' . �`.A1 _. -•._ �'�..,-. i �,!
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 Coun_ty Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
s 030 • r r o oS 3
OWNER: N 2-- ? ASSESSOR PARCEL NUMBER
GOV Pea R- /3�4}
Proposed Building Use: I' ! 5 F t 5tO), Air 6AP- �'4 2� Counter Technician:I / Date: 7.-) 7 04 -
It ms required in ordef�to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
1. Site plans'., 3 or 4 sets, signed by the preparer of the plans. .
2. Complete p ans,Aor 4 sets, signed by the preparer of the plans.
❑ 3. Engineered planV3 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
41 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Letter from Engineer or Architect for truss design review.
I ' 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd.plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs f
❑ 12. Letter of intent for non-residential buildings
❑ 13. Detached Accessory Building Form filled out by the owner
' 14. Hazardous Material Form
15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable.
❑ 16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 17. Fire Sprinklers................:...........................................................................
18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........
20. Erosion Control Plan Required...:.................................................................... ........
21. Fees as shown on the attached Schedule of Fees Due Sheet ...................
❑ 22. City of Chico Plumbing permit........................................................................
60 23. California Department of Fores ry plan approval ❑ paid. Sent by:
...........
24. Planning approval (A) Use: (B)Parking: (C) Parcel Check:
G
❑� 25. Contact Land Development about _ Improvements, _ Drainage .........................
26. NPDES Form .......................................................................
27. Encroachment Permit for driveway from the Public Works
❑ 28. Pre -Inspection for required.......
❑ 29. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 30. Worker's Compensation Carrier and Policy Number ..........................................
❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
❑ 32. Letter of Signature authorization......................................:.........q
33. Recorded copy of Agricultural Acknowledgment Statement..............1../..
34. Manufactured home utility clearance...............................................................
❑ -35. Existing violations and/or expired permits.........................................................
❑ 36. Deed Restriction.........................................................................................
�-. 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
'38. Other: P LEEP #=r2or.> (iNEQ 0LLI-T0 1aioie-A.-rtn. r D1:5
❑ 39. Other:
When issued Telephone' -11(6- 870. 0344- and hold for pickup.
I have been informed of the ab litems and requirements for obtaining a building permit.
yApplicant: Date:
1. Index permit applicatiowfr the i s. u Plan Check Letter
2. Additional items re fired
Contractor, designer, owner, was advi ed o ve dat y ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: ' Plans approved by: I AnA A Date
Structural reviewed Date: Structural approved by: Ll� Date:
Note transfer by: Date:
Yellow: Building Division
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
SCHEDULE OF RECEIPT OF FEES
OWNER e� �2 A.P. # 030 I 1 O • 083
PROPROSED BUILDING USE &ISF /156$� ATT &Ae ( 442) DATE 7.4-
cT
Go✓ Poo 34(0
RECEIPT # DATE REC.
1. BUILDING PERMIT FEES
--- Balance Due ..................... $
--- Additional Fees Due........... $
--- Revised Plan Checking Fee.... $ ' I
2. SCHOOL DISTRICT FEES OQp ✓t tet_ t<t r,
(paid at School District Office) (form available r lan C eck)
A - SHERIFF FEES (paid at Building Division
Residential............ X $360.00 =$ 3ro0 . X7003 7' X04"
Units 1
Commercial (sq. ftg.)..... X $0.03 = $
Sq.Ftg.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit)..... X = $
# Units Amt.
Commercial (Sq. Ftg.).... X = $
Sq. Fig. Amt.
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
La 7. SRA FIRE INSPECTION AND PLAN CHECK FEE
$89.00 (paid at Building Division)
8. WATER TENDER FEES BATTALION #
$200.00 (paid at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X = $
Zone # Units Amt.
Commercial (sq. ftg.) ......... x = $
Sq. Fig. Amt.
10. OTHER
At time of permit application, I was adv' ed the above fees are required to be paid prior to issuance of the permit. These fees
may be changed during the plan the ng cess.
APPLICANT 1/ DATE
Pursuant to Government Co a Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
tte County Department of Development Services
NE CHRISTOPHER, DIRECTOR
LP2A
Scott Rutherford
(530) 538-7160
srutherford cDbu8ecounty.net
Plans Transmittal For Review Per Contract
7/28/2004
Applicant: Cher, Yang Permit 04-2227
Project Type: NSF/Gaya a/Cov APN: 030-110-083
100% 70%
Plan Check Fees $ 1,056.96 $ 739.87
$ 1,056.96 $ 739.87
LP2A Fee $ 739.87
Copies Attached: Qty
Chk
Application
Site Plan Review
FEMA Elevation Certificate
Building Plans
Truss Calculations
Energy Calculations
Structural Calculations
Residential Plan Review Guide
Residential Construction Requirements
Other
Other
7 County Center Drive
Oroville, CA 95965
N
(530) 538.7601 Telephone
(530) 538.7785 Facsimile
N
N
TO:
'
FROM:
1
SUBJECT:
O
�
DATE:
LP2A
Scott Rutherford
(530) 538-7160
srutherford cDbu8ecounty.net
Plans Transmittal For Review Per Contract
7/28/2004
Applicant: Cher, Yang Permit 04-2227
Project Type: NSF/Gaya a/Cov APN: 030-110-083
100% 70%
Plan Check Fees $ 1,056.96 $ 739.87
$ 1,056.96 $ 739.87
LP2A Fee $ 739.87
Copies Attached: Qty
Chk
Application
Site Plan Review
FEMA Elevation Certificate
Building Plans
Truss Calculations
Energy Calculations
Structural Calculations
Residential Plan Review Guide
Residential Construction Requirements
Other
Other
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
IIIIlIIIIIIIIIlIIIit111111IIIIIIII
21fb04-053772
Recorded
I REC FEE 7.00
Official Records
I COPIES 2.00
CoBUTTE ty Df
I
CANDACE J. GRUBBS
I
Recorder
I
ROSEMARY DICKSON
I
Assistant
I Jason
02:36PM 02-S.ep-2004
I Page 1 of 1
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this. property may.!?e subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, Stdie of California, described as follows:
PARCEL 4 AS SHOWN ON THAT CERTAIN PARCEL MAP OF A PORTION OF LOTS 1 AND 3 OF BLOCK 111 OF
THERMALITO, WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, ON AUGUST 15,1977 IN BOOK 62 OF MAPS, AT PAGES 49 AND 50.
EXCEPTING THEREFROM ANY PORTION THEROF, LYING WITHIN THE EXTERIOR.LIMITS OF PARCEL 1 AS
DESCRIBED IN DEED RECORDED AUGUST 22, 1979 IN BOOK 2434 OF OFFICIAL RECORDS, AT PAGE 671, RECORDS OF
BUTTE COUNTY, CALIFORNIA.
ALSO EXCEPTING THEREFROM ALL OIL, GAS, MINERALS AND RIGHTS AND PRIVILEGES PERTAINING THERETO AS
RESERVE IN DEED FROM SCRAMENTO NORTHERN RAILWAY, A CORPORATION, RECORDED JUNE 11, 1964 IN BOOK
1318 OF OFFICIAL RECORDS, AT PAGE 582, RECORDS OF BUTTE COUNTY, CALIFORNIA.
AP NO. 030-110-083
Date 7/2p/2cvy' PROPERTY OWNERS:
L'/�%iZ ✓.s�i,/y :�.✓v S�.✓G ✓a.✓G f�Us(j<�iJsv .H.n/,7 C✓ire ,g f Jvi.✓�
t :lc4f S e v5�UG 1/1 C-�
State of California
County of &7/'
On 7/?Z/7ooy before me
personally appeared_ y,�>aG f d.4.ve 9,✓D
personally
known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed
to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(s) acted, executed the instrument.
WITNESS my b and official seal.
Signaturea o�. ,�� Seal:
JANIE
CLARK
a; Comm. #1312686
A.P. #O //O� P NOTARY PUBLIC CALIFORNIA 0—
BUTTE COUNTY -4
My CommissIOP.Explres Jul, 9, 2005 6
SG
THERMALITO IRRIGATION DISTRICT �T
410 GRAND AVENUE 1\ � 2259
OROVILLE, CALIFORNIA 95965
TELEPHONE: (916) 533-0740
FAX: (916) 533-9243
SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service Address: 1684 Grand Avenue
Owner's Name: Cher & Seng Yang
Date: July
22, 2004
Address: 60 Nelson Avenue, Apt. 4
Acct. No.: 300305
Oroville, CA 95965
A.P.No.: 030-110-083
Phone: 530-533-3827
New Unit: 1
Applicant/Agent:
Adding Units:
Address:
Fees:
Phone:
Permit:
$ 50 00
T.I.D.:
1705 00
Preliminary Review By: Date:
Ext. Fees:
'
Remarks:' CONNECTION FEES WILL BE 'THOSE APPLICABLE AT
SC -OR:
1000 00
TIME Or CONNECTION TO THE SEWER COLLECTOR SYSTEM.
Lateral:
75 00
CLEAN OUT UP TO GRADE, REQUIRED AT PROPERTY LINE.
Other:Encnr
66 00
SEWER CHECK VALVE REQUIRED. SEWER P-EZMIT-FEE INCLUDES
ONE CONSTRUCTION INSPECTION ONLY. INSPECTION WILL
BETotal Fees:
2896 00
BILLED $50.00.
Amount Paid:
2896 00
Collected By:
cm-
Finaled By: Date:
Location:
r1
nIII
1Ul
_
11 lil
Size Line:
ur
�U
u
f
0
i
Signature of Owner/Agent: /V2
MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON COMPLETION
Date Billed:
Computer:
Paid SC -OR:
A.P. File:
(R.F.C.)
Blue Book:
Paid SC -OR:
Meter Book:
(S/C HG's)
Rev. 6/85
0 Department of- Public Works
°
7 County Center Drive
C o u n t y o f B u t t e
0
0 J. Michael Crump, Director LAND DEVELOPMENT DIVISION
O Storm Water Management Program
Oro M. CA 95965
AI 9
�1 W O (530) 538-7266
(FAX) 538-7171
National Pollutant Discharge Elimination System (NPDES) Phase II
Construction Storm Water Permit and Storm Water Pollution Prevention
Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1
Project Description: Z Z --
Project Location and/or Parcel Number:
By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB
1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit
from the State of California Regional Water Quality Control Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction
Storm Water Permit from the State of California Regional Water Quality Control Board for a project
that disturbs one acre or more of land may result in revocation of grading and/or other permits or other
sanctions provi�PA 1,�� 1n.�,
Signed:
Title:
Date:
Less than 1 Acre NPDES & SWPPP Compliance Certification
Butte County Storm Water Management Program
Revised 5/12/04
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
Srdtool District ` Building Department No.
�✓ • � 1 �
A.P. Number U• ' U� Jurisd n• City jCounty
Property Owner
Property Location/Address
Subdivision
Residential Development Q
Q
No of Living
Mobile Home
Units
Installation
Commercial/Industrial
Building Department
Sq. Footage
(Group R)
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
O Sq. Footage
New Addition (Including nor
Roofed as)
eeA
bve ?a Date
� f
District Identification* No. 0!5 0® 7 6
�Iby l' VLy` i �^ kjGt,,K School District certifies that
v
cy-tR r- x k-v\t—
(Applicant)
(Street
Address) (Phone Number)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. by payment of $,,
representing 1 square feet. 2926 i .'
FULL MRIGATION =
School District Representative jDate
Paid by Check #
Remarks:
\30Y Id Fm Cors-V'Ch oy\
Notice: You may protest the Imposition of the fess Identified above by submitting a written protest to the District, In compiler" with
Governmwd Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will'prohiblt
you from challenging the Imposition of the hes In any court action.
K, subsequent to the School District Representative signing this Butte County Schools Impact Fes CertlNation Fom% the School Dietrkt Is
,
notMed by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA]
thle protect may be sublet to additional school hes to fully mltigals.No Impact on the school distrldls schools.
White (applicant), Yellow (building department), Pink (school district) testomi.rds (10/03)dmm
IN
SITE PLAN REVIEW APPLICATION
Date: AP# 0 370 r //6 f% 6 5
Permit Number (if applicable) Q q" 2 2 2 -7 Bin Number 4-- 2;
APPLICANT INFORMATION
Owners Name:
Owners Address:
Telephone No.:
Situs Address:
Proposed Use:
Residential
New Single Family Residential
❑ Single Family Addition
❑ Mobile Home
❑ Residential Accessory
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary -Travel -Trailer.
❑ Multi -family
Non-residential
❑ New Commercial
❑ Commercial Addition
❑ New Industrial
❑ Industrial Addition
Other
❑ Septic
❑ Agricultural Exempt Building
❑ Other:
Brief Explanation (if necessary):
Parcel Size:
❑ Single Family Remodel
❑commercial Remodel
❑ Industrial Remodel
❑ Well
❑ Agricultural Buffer Form ❑ ,Applicable ❑ .N/A
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
Approved 0 Conditionally Approved ❑ Resolve Problems Prior to Approval
Site n Stampe pproved
By Date Z40tf
Page 1 of 5
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
❑ Snow Load Area:
❑ Land Conservation Act Minimum Acreage: ❑Verify residence can be built per contract
❑ Nitrate Action Plan (See Environmental Health for standards)
❑ Watershed Protection Overlay Zone (See attached standards and requirements)
❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required)
❑ SRA - (CDF to determine specific requirements)
❑ 100 -Year Flood Plain: (See attached)
• Flood Zone: 4
• Flood Panel No.: 0-7- O f Index Date:
❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements)
❑ Chapman/Mulberry (See attached standards and requirements)
❑ Cohasset Area (See attached standards and requirements)
❑ Grading Zone (See attached handout)
Use Requires:
❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit
❑ Minor Variance ❑ Variance
-------=----------------------------------------------------------------------------------------------------------------------------
❑ Detached Building• Use Form ❑ Encroachment Permit
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
Zoning:/ID;
Applicable Building Setbacks:
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Zoning Code
Streets .& Highways
Fire Prevention
Subdivision Map
Front
Side
'
Side Street
Rear
f
v
Height
Waterway
N/A
N/A
N/A
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Applicable Development Fees:
Standard Fees
❑ Fire
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area — Road
❑ Thermalito Drainage Area
❑ Thermalito Urban Area
❑ Other
Subdivision Map Special Fees
❑
Water Tender
❑
Road Improvement
❑
North Oroville Area
❑
Other (per map)
Amount Formula
* Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of
the building permit.
Parcel Created By
❑ Deeds:
Date of Creation: Legal Access Provided: ❑ No ❑ Yes
Deed of Reference: Legal Access Required ❑ No ❑ Yes
Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name:
Complies with County 't�andxds or Deed Cr ation: No Yes
Comments: Xvvet a , jrw �% fr6 G �w
a -e.M-f7
❑ Parcel Deemed to be legal
❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation
❑ Obtain a Certificate of Compliance
❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment
❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
❑ Construct road to: ❑ Meet Parcel size required by zone
❑ Meet current Environmental Health Department requirements
Page 3 of 5
t e e kv�wf t# -5-,0 " 1
❑ Subdivision Map/Parcel Map:
Map Date of Recording: - f (f
Lot:
❑ Use Permit/Minor Use Permit
Permit Number:
Book: 41 2 Page: �9
Date of Approval:
Parcel Map/Subdivision Map/Use Permit Conditions
❑ Comply with the following Conditions of Approval:
❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the
National Fire Protection Association Standard for installation of sprinkler systems in one
and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized
community water system, with hydrants that meet the Fire Department specifications, serves
the parcel.
❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission
requirements of the California Clean Air Act of 1988, as amended.
❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan
must be prepared by a registered civil engineer or other qualified professional and be
submitted to and approved by the Department of Public Works.
❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate
Battalion Water Tender Fund may be required.
❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil
construction associated with residential 'development. Approved dust control measures are
found in the fugitive dust control plan for the site approved by the Butte County Air Quality
Management District, a copy of which can be obtained from the Butte County Department
of Development Services, Building Division."
❑ Engineered foundations are required.
❑ Class A roofs are required.
❑ Property owners responsible for road maintenance, and stop sign maintenance.
0
U
Page 4of5
0
0
0
Summary of Specific Requirements:
This information provided" in this summary is based on the application information and on the best available data at the time
of review.
CALarrys\Building Permit Site Plan Reviewl.doc
Page 5 of 5
Received
BUTTE COUNTY gEp g 2004
9 �
AGRICULTURAL BUFFER NOTIFICATION AND/OR 619j0UL7�����
UNUSUAL CIRCUMSTANCES REQUEST
Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This
dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify
unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not
available for lots being created, divided or subdivided.
Owner or Authorized Agent must complete the following and return with the required site plan to:
Development Services Department, 7 County Center Drive, Oroville, CA (55330) 538-7601
Name: Phone:
t A _
Mailing Address: (2 r �---
E -Mail address
Assessor's Parcel Number: 4ZO
Reason you believe you qualify for the unusual circumstances exception:
�imensia(ls oy �Vi ; e)*;Tinq 10 mukPe Che 3W fit gq' Ter
To W1. AA XTP VaPSC ,-thG lot fS 2,qb rp(?T
An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement
(well, septic systems, structureLbmit
does at-allew-fer-th ndard condition of a 300 -foot buffer zone.
SITE PLAN REQUIREMENT: 4 copies with this forRefer to the Site Plan Submittettfer-s ec' ements
... :...............................................................................................................................................
Internal Dept. Contact Info:
❑ Env. Health ❑ Planning ❑ Building ❑ Other
Contact Person: Phone:
FORWARD THIS FORM TO LARRY IN DEVELOPMENT SERVICES FOR PROCESSING
.........................................................................................................................................................................................
For Agricultural Commissioner office use only: (to be completed after submittal )
DISCRETIONARY PERMITS (Planning) MINISTERIAL PERMITS(Building
❑ Exception Recommended Exception Granted with the
❑ Exception NOT Recommended following conditions:
Reason/Conditions/Specific setbacks from adjacent agricultural operations: �rz Pps l ('QS wA
��w-� �L r3 irao� I�ssible .
Agricultural Department Signature: Date: oq t
YAC 7/1/03
V1611411 T MAr
t�
iyTy
COU26
Y
.
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C� Cry-71
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030-110-08
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+ � � �rwi."�d�F4'h .'+,�r'�'�!r . �f' a 3a,�9�,#31C$►�!".,�iyl•�I,�,`7�"'''�'#�!!�' •-,;� `
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QLP
(2 o
[� LBUTTE COUNTY as
?'D $�RtME OF DEVELOPMENT
\/"`� BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
Q�
V 24 , SPECT'ION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834
�y OFFICE #: 530 538-7541
n 6/ A FEE WILL BE REQUIRED AT TIME OF APPLICATION
(f� \ "PLEASE PRINT CLEARLY" 0' W C"A(-
ARCHITECTIENGINEER
Name
Addr,//9
City
State
Z� c .
Phonte�/6l
F ?fid, lap -,90;6
E-mail
State License Number
Subdivision Name Map
Book
to,
APPLICANT NAME
Name
iJf�• tll�
Address
,7630 /47/LH/Z 2✓.9+;>}-
Citi+State
Crpp
e
Z� c .
Phon 4 '/
F/�
E-mafl
APPLICANT SIGNATURE
X
For office use only:
Zoning
Flood Zone
SRA
I Yes
I No
Occ.
Type Const
Subdivision Name Map
Book
I Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS ^
PERMIT
NO.
BPa4!!3
BINA . I'
' LOCATION
AP# -!/�-off 3
Property
tAddress City
Cross Street
/-O •rt, s T_
WORKER'S COMPENSATION
Policy Number
.[L
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address •
Description or Scope of Work:
1V�4,1
Sq. Footage NSFUDS'W 4,Q
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
reftmdable.
Received by: Amount 2ro42•3q Bldg
do ki — SRA
Receipt #: 4-070'=>5 3 �10 - Sheriff
12.3 9 SMTP
Date:Other
7•
3014.78 Total
APN: 030-110-083
AV.
NORTH
PROPOSED PLOT PLAN 1687 GRAND AVENUE
OROVILLE, CA 95965
scuE 1•=20'-o'
ea•rWae,n, a,•nacrm
World FM Construction Co.
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lum 1-1
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�u•oivm n na sr� v cmm •
No UX& aoss•er MM AM APMWA t
to Tm now=.
BUILDING CODE DATA
a•L AM
a•a . , Ua, nua.
eanaiero, me
Qat. .
FIK Mr.
DRAWING SHEET INDEX
s w in MCFAR ••
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Prepared By:
Butte County Department of Development Services
YVONNE CHRISTOPHER, DIRECTOR
7 County Center Drive
Oroville, CA 95565
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
ADMINISTRATION * BUILDING * GIS * PLANNING
July 8; 2004
Cher Yang, Seng Vang
60 Nelson Avenue #4
Oroville, CA 95965
RE: Permit No. BP04-1336. APN#030-11.0-083 Owner: same
On 5/11/2004, a deposit was made in the amount of $2,022.64, of which $219.96 -was
retained. The remaining fees will be reimbursed to you. Please sign, date, and return the
enclosed claim form to this office. Once we receive the claim form, we will then process
your refund in the amount of $1,802.68.
Should you have any questions, please contact this office Monday through Friday, 8:00
a.m. to 4:00 p.m., at 538-6869.
Sincerely;
Diane Lewellen , OA III
Administrative Division
enclosure
BP04-1336.1tr
County of Butte
Oroville, California
GENERAL CLAIM
CLAIMANT: Cher Yang and Seng Vang
ADDRESS: 60 Nelson Avenue #4
CITY & STATE: Oroville, CA 95965
nATI: nF rl AIM- f17/()R/()4
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELA
AMOUNT
Refund Claim - See attached calculation sheet APN: 030-110-083
Permit No:
BPO41336
PAID
RETAINED
REFUND
Development Services
$ 659.88
$ 219.96
$ 439.92
THERM DRNG
$ 510.00
$ -
$ 510.00
SMIP
$ 7.74
$ -
$ 7.74
SHR
$ 305.01
$ -
$ 305.01
ITU A
$ 540.01
$ -
$ 540.01
TOTAL
$ 2,022.64
$ 219.96
$ 1,802.68
...............
..............
...............
... ......
.::....:.::.:.:.
:: }»::::::
»:
.. � . . . . .
............................................................
...............................
............................................................
..............
Y1A0 .,::
............................
' . ..N ::?:4]VIoX11
..............
..............
:
101001 DVLPMNT SVC
440-001
4210500
$ 439.92
1011822 THERM DRNG
1800
280
$ 510.00
1011430 SMIP
1001
280
$ 7.74
1011811 SHR
1800
280
$ 305.01
1011816 TUA
1800
280
$ 540.01
TOTAL
$ 1,802.68
$ 1,802.68
I, the undersigned, declare under penalty of perf'ury that the services or articles claimed have been performed or delivered, and that this
claim is we and correct as stated.
Dated this day of , 2004, at Calif.
Signature of Claimant
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or
delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same.
Dated this day of 2004, at Oroville Calif.
Department Head or Authorized Deputy
Dept. SEE Exp.
Code BREAKDOWN Code PAYABLE FROM FUND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT.
CLAIMANT:
Cher Yang and Seng Vang
ADDRESS:
60 Nelson Avenue #4
CITY & STATE:
Oroville, CA 95965
DATE OF CLAIM:
05/14/04 030-110-083
-APN--
RECEIPT INFORMATION
NUMBER:
DATE:
ISSUED TO:
CHECK#:
AMOUNT:
PERMIT #:
REFUNDS:
405853
05/1112004
Cher Yang and
Cash
$2.022.64
BP041336
Yes
I me BLDG THRM DRNG AUD SUSP SHER DEV FEE THRM UREN
Fund 0010 1800 1001 1800 1800
Dept 440-001 rHRM DRN( (SMTP) (SHR) (TUA)
Accnt 4210500 280 280 280 280
Cash 101001 1011822 1011430 1011811 1011816
DETAIL PAID RETAIN REFUND
BLDG Time 109.98 549.90 ........ .
......... ........ ........
........ ........ ................
filming (from Plan Check) 0.50 54.99 54.9 -54.99:•:•:•:•:•:•:: ................ ........ .......
................
....... ......
Plan Check/Filing 000 219.96 1 219.961 2-19.96
Ins action 0.00 329.94 329.941 329.94
.................
BLDG FEES
................ ........ .......
........ ........ ................
OTHER BLDG
. . . . . . .... .......
1TUA 54.99 54.99 0.00 0.00
. ........ •................
. ................ ........ .......
:SHR 54.99 54.99 0.00 0.00
... ..........
REFUND PROCESS FEE 54.99 54.99 -54.99 -54.99':':':':':':':'::'•:':':•:•:•:• ......... .......
........ ........ ................
................ ........ ........
........ ........ ................
................ ........ .......
BUILDING TOTAL 659.88 219.96 439.92 439.92
........ ................
........ ........ ........
THERM DRNG 510.00 510.00 510.00
SMTP 7.74 7.74 7.74
................
........ .......
SHRR 305.011 1 305.011 305.01
TUA 540.011 1 540.01 1 540.01
$ 1,802.68 $ 439.92 $ 510.00 . . .... �7.74 $ 305.01 $ 540.01
APPROVAL CHECK: $1,802.68
Date Reviewed 05/17/2004 DIFFERENCE: $0.00
Michael Vielra (Should be blank)
Building Manager
Developm nt Services
Monday May 17 2004
- -BUILDING DIVISION VPr1 n
Counter Alice I
Person
Fund 10 (Bldg Permits)
$659.8$:
SRA Fees (Fire)
$0.00
Payment Date5/11/2004
I SHR Fees (Sheriff)
$305.01
Permit Number
BP041336
I SMIP
$7.74
Receipt Number
405853
I Copies/ Document Sales
$0.00
'Check Number or Cash CASH
I CUA (Chico Urban Area)
$0.00
Parcel Number
030-110-083
I TUA (Therm. Urban Area)
$540.01
Applicant
VANG & YANG
I Water Tender Btln
West Chico Fire Station
$0.00
- Received From
SAME
-
Witness Fees
$0.00
Total. Received$2;022.
- 64-=I
Recorders Fees (N.O.C)—$0.00
Thermalito Drainage
$510.00
Total Fees To Collect
$2,022.64
Oroville Area Traffic
$0.00
Notes:
NSF (Non Sufficient Funds)
$0.00
Notice of Violation
$0.00
NCSP Trails System
$0.00
NCSP Roads/ Bridges
$0.00
NCSP Storm Drainage
$0.00
.
NCSP Fire Station
( $0.00
NCSP. Parks Type
$0.00
y
Value
$0.00
National Pollutant Discharge Elimination System (NPDES) Phase II
.Construction Storm Water Permit and Storm
mTHr Pollution
Prevention Plan (SWPPP) Acknowledgement rLESS
Project Title: It? 7 h -V i
By signing below, I, the project owner/owner's agent, certify that I am aware that a construction
project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the
State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent
(N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made
payable to the State Water Resources Control Board to obtain such a permit if my project
disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or
more of land. I am aware that submitting false and/or inaccurate information may result in
revocation of grading and/or other permits or other sanctions provided by law. •
Signed:
Title:
Date:
Com✓ 424- -
Butte County Department of Development Services
Building Division
7 County Center Drive
Oroville, CA 95965
(530) 538-7541
REFUND REQUEST APPLICATION
REFUND POLICY - Butte County Code 3-41(t)
1. Refunds can only be made upon written request by the person who paid the fees, whose name is on
the receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt.
2. The request must be made within two years from the date of fee payments on permits not issued, and two
years from the date of permit issuance for permits issued -if no construction work has been done.
3. Filing fees and plan check fees for work plans checked are not refundable.
4. Fees paid to other County Departments are not covered by this claim.
INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be
generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the
receipt) and return to Development Services for payment processing.
CLAIMANT'S NAME:
L
-
MAILING ADDRESS.
PHONE:
(53U) x233 5
ASSESSOR'S PARCEL NO.:
2 3 .Q.. 11. 0' D. 1 5
[Please use one claim form per permit.]
BLDG PERMIT NO.:
Receipt No. 1
Receipt No. 2
Receipt No. 3
RECEIPT NO.:
RECEIPT DATE
RECEIPT AMOUNT:
_ tyl
cp'stk
REASON FOR REFUND REQUEST:
No Lo" Inas IXW dbtkV o1
TU
51111 �t -7y
[�
_ t
Check those fees which you wish to have considered for refund:
[]Building Permit Fees Sheriff Fees SRA Fees (CDF Fire Planning)
V%.
40
W
=Other (specify):
Plans for cancelled permits will be disposed of within 10 working days upon submission of a Q
Request for Refund. If you want the plans, you may ick them up prior to that time.
Signature Date
K:/Forms/Refund Application 082203
' REFUND CALCULATION SHEET
CLAIMANT:
ADDRESS:
CITY & STATE:
DATE OF CLAIM:
Cher Yang and Seng
60 Nelson Avenue #4
Oroville, CA 95965 -
05/14/04
Vang
APN: 030-110-083
NUMBER:
DATE:
ISSUED TO:
CHECK #:
AMOUNT:
PERMIT #:
PRIOR REFUNDS:
FEES VERIFIED
`
RECEIPT
INFORMATION
405853
5/11/2004
Cher Yang and Seng Van
Cash
$2,022.64
BP041336 i
Yes No
Yes No
Yes No
X
X
REFUND BREAKDOWN
DETAIL
PAID RETAIN
Title
Fund
Dept
Accnt
Cash
REFUND
BLDG
0010
440-001
4210500
101001-
THRM DRNG
, 1800
(THRM DRNG)
280
1011822
AUD SUSP
1001
(SMTP)
280
1011430
SHER DEV FEE
1800
(SHR)
280
1011811
THRM URBN
1800
(TUA) .
280
1011816
BLDG - Time
109.98
1549.90
:::::::::::::::::::.......
::::::::::::::
.........................
:::::::::::::::::::::::
..............
:::::
::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
..........................
.............. :::::::::::::
..........................
..............
........................................
.............. :::::::::::::
::::::::::..................
............................
::::: ::::::::::::::
............................
............................
............................
:::::::::::::::::::.::
.............................
:::::::::::::::::::::::::::.::
:::
..............................
:::::::::::::
.............................
:::::::::::::::::::
......:......
.............
::::; ::;:
.............
.............
.............
Filingfrom Plan Check 0.50 54.99 54.99 -54.99 -54.99
Plan Check/Filing0.00 219.96 .219.96 219.96
Inspection 0.00 329.94 329.94 329.94
BLDG FEES
OTHER BLDG
TUA 54.99 54.99 0.00 0.00
SHR 54.99 54.99 0.00 ; 0.00
REFUND PROCESS FEE 54.99 54.99 -54.99 54.99
BUILDING TOTAL 659.88 219.96 439.92 439.92
THERM DRNG
i .510.00
510.00
510.00
............
.............................
SMIP
7.74
7.74
SHR
305.01
305.01
305.01
.............
TUA
540.01
540.01
540.01
$ 2,022.64 $
219.96
$ 1,802.68 $
439.92
$ 510.00
$ 7.74
$ 305.01
$ 540.01
APPROVAL
Date Reviewed
Michael Vieira
Building Manager
CHECK: $1,802.68
5/17/2004 DIFFERENCE: $0.00
(Should be blank)
' 04-1336 = ' 030-110-083
LAST NAMWFIRST NAME
CONTRACTOR • • • CITY/CTY
STREET NO • : STREET NAME CITY • ' •
USE TYPE !VNEW MH PERM FND
B ■ P ■ no MCI
25 char. max
VALUATION FLOOD _
PLAN CHECK ACTIVITY
Plan Chk-1: Chkd By -1r: _
.Plan Chk-2: -� Chkd By -2: �,
Plan Chk-3: Chkd By -3:•_
[255_'char. max,
405853
Return -1:
Return -2:
Approved:
APPLIED 5/11/2004,
ISSUED
FINALED
S
M.
--
5/11/04:PDSHERIFF $360; SMIP $7.74; TUA $595; DRAINAGE $510.GLB. REFUND REQUESTED 5-13-04 ITEMS
RETURNED TO OWNER SEE FILE. Permit w/Di
DEPARTMENT OF DEVELOPMENT SERVICES
DEPOSIT SHEET `
BUILDING DIVISION
DEPOSIT # 206
BAG # 329
MONEY COLLECTED: I 5113/2004
1
0
Fund Title:
BLDG INSP
FIRE PRCTN
SHER DEV FEE
AVA CRT ORD
THRM URBN ARA
AUD SUSP
THRM DRNG
Fund:
0010
0100
1800
001,0
1800
1001
1800
Dept:
440001
(SRA),
(SHR)
440001
(TUA)
(SMTP)
(THRM DRNG)
Accnt:
4210500
4617240
280
4617252
280.
280
280
Cash:
101001
101001
1011811
101001
1011816
1011430
1011822.
'PERMIT#,
RECEIPT#,
.,
041331
405846
$
534.93
041333
405847
$
549.90,
041333
405848
$
54.99
$
305.01
041333
405849
$
109.98
$ 43.00
041334
405850
$
1,753.45
023314
405851
$
54.99
041335
405852 ,.
$
1,042.70
$ 43.00
,'_.
04;1336 ,
405853 ..
�_.$;_'
659:88.
� ��
$_
`'��' 305:;01
$ ; 540.01`..
$ 7.74
$ ',.."510.00
041337
405854
$
109.98
AVA Court
405855
$ 137.00
405856
$
54.99
041338
405857
$
109.98
041339
405857
$
109.98
032793
405858
$
109.00
041341
405859
$
687.38
$ 43.00
041340
405860
$
714.87
$ 43.00
$
305.01
$ - 16.73
040497
405864
$
1,393.10
$
335.00
041342
405866
$
467.42
041343
405867
$
110.00
040035
405868
$
5.01
041344
405869
$
54.99
$
8,687.52
$ 172.00
$
1,250.03
$ 137.00
$' .540.01
$ 24.47
$ 510.00
GRAND TOTAL TO BE
DEPOSITED#$;
1,11,321 03
MONEY COLLECTED: I 5113/2004
1
0
i
E
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
APPLICANT NAME
OWNER
Name VC
�
Address
to
LAJg
City
City D�m-
G Le
State
Zip S
Phone`
3 � gK--�
Fax
E-mail
-
APPLICANT NAME
CONTRACTOR
Name
Od
Address
Address
City
Fax _
City
t
Phone
State
Zip J - S
Phone
Planner
Fax
E-mail
Lic. #
Class
APPLICANT NAME
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax _
State
Zip
Phone
Map Book
Fax
E-mail
Planner
State License Number
APPLICANT NAME
Name
Address
City
State
Zip
Phone
Fax _
E-mail
APPLICANT SIGNATURE
X
For office use onI
Zoning
I Ata
I Flood Zone
X
SRA
Yes
Occ.
Typb Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
04133(e
BP
BIN #
LOCATTIO^� jN�
Ali 4
Property Address l l00 -7
14
Cross Street 0 .
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work -
Sq. Footage C1 lell)
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by:^ Amount: � �/• Bldg
SRA
Receipt M rLD COO -
-C'Q Sheriff
4 SMIP
5 iS. �
CA
GO
ra-7 0.
Date: at D;Q •(W Total
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 4-30-04
SUBMITTAL REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply
fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE
LEGIBLE AND IN INK.
Residential, New, Remodels, Additions, and Accessory Structures:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER!
❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed
calculations.
❑
4.
2 Engineered truss details and layouts (if required) (NO FAXES!).
❑
5.
Letter from Engineer or Architect for truss design review.
❑
6.
2 Energy compliance design and supporting documentation: (Note: Not required for additions to
with code analysis.
❑
mobile or modular homes.)
❑
7.
2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑
8.
Detached Accessory Building Form, filled out by the property owner .(if required).
❑
9.
Sanitation and site plan approval from the Environmental Health Department. y
❑
10.
Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in -
Statement of Intent for Non -heated and A/C (if required).
❑
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
Mobile,
Manufactured, or Modular Homes:
❑
1.
3 Site Plans, signed by the preparer. NO GRAPHPAPER!
❑
2.
2 Data sheets and installation instruction manual.
❑ 3. 2 Marriage line information.
❑ 4. 2 Floor plans. +
❑ 5. 2 Engineered Tie Downs or Foundation plans.
❑ 6. Sanitation and site plan approval from the Environmental Health Department.
❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
Commercial, New, Additions and Remodels:
❑
1.
4 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑
2.
4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations,
with code analysis.
❑
3.
2 Engineered truss details and layouts (if required) (NO FAXES!).
❑
4.
Letter from Engineer or Architect for truss design review.
❑
5.
2 Energy compliance design and supporting documentation (if required).
❑
6.
2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑
7.
Statement of Intent for Non -heated and A/C (if required).
❑
8.
Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
❑
9.
. Letter of intent.
❑ 10. Hazardous Material Form.
❑ 11. Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530) 538-7541.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2
REV 4-30-04
NOTES, RESIDENTIAL
t
i
i PERMIT NO, 030-110-083-- -04=1336 —
{ VANG & YANG,
1687 GRAND AVE, OROVILLE
Cont: FLEETWOOD HOMES
NEW MH PERM FND
THE HCD FORM 433A FOR THIS MH CANNOT BE
RECORDED UNTIL ONE OF THE FOLLOWING HAS
BEEN TURNED IN TO THE BUILDING DIVISION:
(1) LICENSE PLATE(S) OR DECAL (THE
INSPECTOR MUST RETREIVE).
(2) STATEMENT OF FACTS (ONLY ON NEW
MH' S).
INSPECTOR TO VERIFY SERIAL & LABEL #'S.
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT. CONDITIONS
SUB -STANDARD HOUSING LETTER
0
JOB FINALED (Date)
Signature
J=OK
0 = Not OK
. = NotReadyahle
Card B-1 Date Card B-1
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
1.
Zoning Requirements -Setbacks -Easements
Soils; Compaction -Structure Stability
2.
Soils; Special MH Support Sketch .
4.
3.
Sewer; Location -Test -Fall -C/O -Concrete
Elec.; Pool Lighting; 15 Volts-GFI
4. ,Water; Location -Test -Easement Needed (Sketch)
Elec.; Enclosures; Conduit Entries -Terminals -Listed
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ /" L -ft.
/ P Nat. or / /" L "ft./ P LPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector '
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7. Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify #'s with Office
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports: Windows -Doors
7. Electric
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panel boards- Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
RESIDENTIAL (Single & Duplex)
Date
FRAMING (Continued)
Card B-1 Date Card B-1
Date
Hangers -Post Caps -Anchors -Connectors
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
18.
Water Pipe; Test & Anchor -Nail Protection
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
20.
Shower Pan; Test, First Floor -Tub Access
Garage Fire Protection Framing -RC Channel
21.
Test Tub & Shower, Second Floor -Tub Access
Property Line Firewall & Openings
22.
Gas Pipe; Sixe & Anchors
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
23.
Fire Sprinkler; Test
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
59.
24.
Fixture & Transformer Clearance -Ins. Protection
60.
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
61.
26.
Size Boxes & No. of Conductors Stapled
62.
27.
Romex Installed Close to Edge of Studs & C.J.
63.
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
FINAL (Plans) OK except #'s
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral O Yes O No
Ext. Steps -Door & Sidelight Protection -Landings
32.
Service -Riser Conductors & Ground Main Disconnect
Smoke Detector
33.
Equip. Clearances Panels-Motors-Mech. Equip.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
34.
Clothes Closet Light -Shower Light -Spa Light
Bedroom Exiting
35.
Smoke Detector
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
72.
36.
A.C. Ducts Insulation & Support
73.
37.
Vent Fan, Exhaust above insulation
74.
38.
Condensate Drain & Overflow, Size & Grade
75.
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
76.
40.
Attic Access & Platform if Furnace in Attic
Date
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
Card B-1 Date Card B-1
Date
Plb.; Elec. & Mech. Equip. Listed for Location
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41.
Sills Proper Materials & Anchors
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
43.
Bearing Walls over Girders & Floor Nailing
44.
Draft Stop in Walls (rat proof)
_
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46.
Headers & Beams -Size & Bearing
85.
A.C. Unit Disconnect, Electrical -Plumbing
Date
FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
_
83.
Following Instld./Drive D Yes D No/Walks O Yes D No/Planters D Yes O No
84.
Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
Y
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
s 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
` PERMIT APPLICATION DATA SHEET
065
OWNER: I ASSESSOR PARCEL NUMBER a 30 I I o •,d&60�
Proposed Building Use: NEW M +••t ►h' e W/ 5 C T1: Counter Technician: Date:
Items required in order o apply for a permit. All boxes MUST be checked OR marked NA in or er to apply.
it 1. Site plan6, 3 4 sets, signed by the preparer of the plans.
Cl 2. Complet�piars, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Letter from Engineer or Architect for truss design review.
❑ 6. Energy compliance design and supporting documentation in duplicate.
Q 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. `
8. Manufactured homes: (p'Data sheets and installation instpMarriage line info, C'Floor Plan,-(,yTie down or fnd plans, all in
� duplicate. `-�--�-"'�' ------
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
-► must be stamped and wet -signed by the engineer.
J ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential buildings
❑ 13. Detached Accessory Building Form filled out by the owner
❑ 14. Hazardous Material Form
❑ 15. Sanitation and site plan approval from the Environmental Health -Department in ❑ Chico ❑ Oroville, as�applicable.
?tom 16. Other Nook- L Ly Le'rrC- n T--rle-,t�` 7F �
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 17. Fire Sprinklers............................................................................................
®® 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by .
�O 19. Soils Report and/or Engineered Foundation required ........................................... ' �� q c .`'7iD �• n•
❑ 20. Erosion Control Plan Required........................................................................ . -,a �-I
9` 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. a. 14-
0,
¢❑, ;122. City of Chico Plumbing permit........................................................................
t�a 23. California Department of Forestry plan approval ❑ paid. Sent by: ............
4" 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check:
❑ 25. Contact Land Development about _ Improvements, _ Drainage .........................
26. NPDES Form.............................................................................................
27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Pre -Inspection for required.......
❑ 29. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 30. Worker's CQmpensation, Carrier and Policy Number ..........................................
Y* 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
❑ 32. Letter of Signature authorization......................................:.............................
6a' 33. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 34. Manufactured home utility clearance...............................................................
❑ 35. Existing violations and/or expired permits..........................................................
❑ 36. Deed Restriction........................................................................................
91' 37.Grant Deed, [�W.H. Title/Statement of Facts, ❑ Leiter-fr raLegal-OwLe[, I heck to H.C.D. $ e 7
may' 38. ther. Pile-eac o r- G+aA j 11-jFF,
.E 39. Other:
When issued Telephone g -,&q _ 96n- a and hold for pickup.
I have been informed of th' alo iie itel� s6anhd rKquirements for obtaining a building permit.
Applicant: • -� tip-- ( Date: - //- '9- 0'0y
1. Index permit application for the above items number d: Plan Check Letter
2. Additional items required. '
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: Plans approved by: Date
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
SCHEDULE OF RECEIPT OF FEES
OWNER
A.P. #
PROPROSED BUILDING USE A/0(0 M# 6 J 60" )�MZ1 DATE
RECEIPT # DATE REC.
0
1. BUILDING PERMIT FEES
--- Balance Due ..................... $
--- Additional Fees Due........... $
--- Revised Plan Checking Fee.... $
2. SCHOOL DISTRICT FEES 1t�JJA
(paid at School District Office) (form av 'lable aftdr Plip ChS&)
3. SHERIFF FEES (paid at Building t ons)
Residential............ X $360.00 =$ 3 0 W
Units
Commercial (sq. ftg.)..... X $0.03 = $
Sq.Ftg.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit)..... X
# Units Amt.
Commercial (Sq. Ftg.).... X = $
-�q. rig. Amt.
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK FEE
$89.00 (paid at Building Division)
8. WATER TENDER FEES BATTALION #
$200.00 (paid at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X = $
Zone # Units Amt.
Commercial (sq. ftg.) ......... X = $
Sq. Ftg. f�j Amt.
10. OTHER 11P !
t time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be changed during the plan checking process.
APPLICANT , Gke %
DATE S\_ J/
Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
STATE OF CALIFORNIA yfNTat
BUSINESS, TRANSPORTATION AND HOUSING AGENCY
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
DIVISION OF CODES AND STANDARDS n
REGISTRATION AND TITLING PROGRAM
STATEMENT OF FACTS
This unit is a: Mobilehome ❑ Commercial Coach ❑ Floating Home ❑ Truck Camper
Decal (License) No.(s) Trade Name Serial No.(s)
I/We, the undersigned, hereby state:
I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State
of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of
the above-described unit in California, or from issuance of a California certificate of title covering the same.
I/We certify under penalty of perjury that the foregoing is true and correct.
Executed on 5_11112"
(Date)
Signature(s)
Li—
(City)
Address 40� Ni/S P,^/
Printed name(s)
,q a'� c
C�
(State)
City !I State c/54IF J- s' 6-f
fI
MH UT IL.
5168-75E (commercial mobile)
PERMIT NO.
P I
i
E
M
MH UTIL.
PERMIT NO.
qPERMIT
EXPIRES Z a
OWNER
Edward H. Barron
Oroville Pump & Electric, Oroville
CONTR.
30-11-62
LOCATION (A.P. )
s/s Grand Ave._approx. 500' W. of
16th St., Oroville
y
nY
Temp. Power Pole
Called PG&E `
Tow. Elec. Serv.
Called PG&E
i'
T mp. Gas Serv.
Called PG&E
JOB
f
FINALED
(Date)
Y
)
(Sign ure) 7
. I
COUNTY OF BUTTE'— DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Sidinq
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Reinf. Steel I Final I Fixtures
FIRE SPRINKLE
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
'7EC� REMARKS OR CORRECTIONS -
4.
odz �W R 0 t 0
J,m,
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS`
7 County Center Drive - Oroville, California 95965
! Fel ephone: 534-4541 /
APPLICATION AND PERMIT
Receipt No.4 .;2f6-,ZE 3
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant dhilding permit expires Date ~ 7�'
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address -
Telephone No.
Fireplace
Contractor t�%e-Zi
Total Valuation
Mailing Address Q �,'7
Permit Fee
Plan Checking Fee &/or Penalty
adA3Lt"ec
Telephone No.
is -.740
Permit Fee
Building Address
PLUMBING Na. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.
8 PI
Gas piping system 1 - 5 outlets 1.50
h additional outlet .30
Fqk
S i i n
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Oarcel
Declaration
Parcel Ma p
60' R/W Im rovements
p
Lawn sprinkler system 2.00
Parcelprovol I
Plans prcval
Permit Fee $
$
NEW ADDITION ❑ UTILITIES ❑ OTHER [�
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 ,00
-
Main service incl. 1 meter �•O�?
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home ❑ Others Rr
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures '2U(d2
- ig
Receps., switches & fix outlets
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities ljr�
Temp. Power Pole 5.00
License No. �L Y2 g0r0 Classification C -/U
Misc. wiring
14—
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ _
$ �-
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
fail I have placed on file with the County of Butte a certificate of
-,Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit .is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No.1 @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
XT ai_f;v Date `L,Z ��
Signature of Permitee o gent
/.s . --. _
TOTAL PERMIT FEE
$ / 7Z
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR PUBLIC WORKS
By Date
Receipt No.4 .;2f6-,ZE 3
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant dhilding permit expires Date ~ 7�'
S/0 4
This set of plans and spticif►cc1ti
keaf on the l�,y ons MUST` �e
at all fir.Ies rnd it is unlawful to
Win" . !,N„gPs Or r4nm
f ions On some written permission fronj the Deparfine f of ublu
Works, Coun y of Buff c
4
NOTE, --All Materials & WoAmarship Shall Be in
Accordance vtith Rococsrired G -j-)4 Pr-ctices and
of a qur+lity prescr *,bcd for the Spec4*ied use in the
Uniform Building, Plumbing & Machanical Codes and
the National Electrical Code.
�Ilob;le
The i. Setback shall be 5 ft, from
flip side P`operfy line and 50 ft. from
centerline of fhe road
'' inum of -a 2 ft. ebve ov perhct,g
� t/ e K
v
Septic system and location a+ ba0d
�1
+*-b-e-a- to be ns per
Butfe Counfy Health Dept. Ra-
quir',ements.
1131
XPD
BUM COUNTY
BUILDING DEPARTMENT
'APPROVED